The Certified Institute of Applied Management And Administration

Application Form

TITLE *

SURNAME *

FIRST NAME *

DATE OF BIRTH

NATIONALITY *

MARITAL STATUS *

HOME ADDRESS

Email Address *

TEL NO *

BUSINESS ADDRESS

STATE PROGRAMME FOR WHICH ADMISSION IS SOUGHT

HAVE YOU EVER ATTENDED ANY OTHER COURSE(S) AT CIAMA *

IF YES STATE WHICH

HAVE YOU OBTAINED SIMILAR QUALIFICATIONS?

STATE PROGRAMME

EXAMS TAKEN WITH GRADE ATTAINED

INSTITUTE WITH QUALIFICATION OBTAINED

OCCUPATION/JOB TITLE

BRIEF DESCRIPTION OF RESPONSIBILITIES

PREVIOUS EMPLOYEMENT RECORD

INCLUDING PAS RECORD WITH PRESENT EMPLOYER